Private Insurance Coverage of Contraception
Issue Brief
U.S. Food and Drug Administration. (2015). HPV, HIV, Birth Control.
Jones, RK. (2011). Beyond birth control: The overlooked benefits of oral contraceptive pills. Guttmacher Institute.
Guttmacher Institute. (2010). Facts on Contraceptive Use in the United States.
Ibid.
Centers for Disease Control and Prevention. (2015). Health, United States, 2014.
Kaiser Family Foundation. (2015). Intrauterine Devices
Centers for Disease Control and Prevention. Effectiveness of Family Planning Methods.
Daniels, K, Daugherty, J, & Jones, J. (2014). Current contraceptive status among women aged 15-44: United States, 2011-2013. National Center for Health Statistics, U.S. Department of Health and Human Services.
Guttmacher Institute. (2015). Unintended Pregnancy in the United States.
Liang, SY, Grossman, D, & Phillips, KA. (2011). Women’s out-of-pocket expenditures and dispensing patterns for oral contraceptive pills between 1996 and 2006. Contraception 83.
U.S. Equal Employment Opportunity Commission. December 14, 2000. Decision- Contraception.
Guttmacher Institute. (2015). State Policies in Brief: Insurance Coverage of Contraceptives.
Kaiser Family Foundation and Health Research Educational Trust, 2014 Employer Health Benefits Survey.
Kaiser Family Foundation. (2010). 2010 Employer Health Benefits Survey.
U.S. Food and Drug Administration. (2015). Birth Control Guide.
Cox C, Damico A, Claxton G, & Levitt L. Examining high prescription drug spending for people with employer sponsored health insurance. Kaiser Family Foundation. October 2016.
Grandfathered plans are those that were in existence on March 23, 2010 and have stayed basically the same. If you buy coverage on your own and you first purchased your policy prior to March 23, 2010, it may be a grandfathered plan. See Kaiser Family Foundation, Health Reform FAQs, “What is a grandfathered plan? How do I know if I have one?”
Plans are not required to provide no-cost contraceptive services and supplies to policyholders using out-of-network providers unless there are no available in-network providers able to provide the medical treatment.
Kaiser Family Foundation. (2015). Coverage of Contraceptive Services: A Review of Health Insurance Plans in Five States.
Ibid.
Centers for Medicare and Medicaid Services. (2015). FAQs about the Affordable Care Act Implementation (Part XXVI).
Kaiser Family Foundation, Health Research and Educational Trust. (2014). Employer Health Benefits 2014 Annual Survey.
The Administration defines closely held corporation as an entity that 1) is not a nonprofit, 2) has no publicly traded ownership interests, and 3) has more than 50 percent of the value of its ownership interest owned directly or indirectly by five or fewer individuals. 45 CFR §147.131 (b)(4)
To be eligible for an accommodation, for-profit closely held corporations must adopt a resolution establishing that the corporation objects to some or all contraceptive services on account of the owners’ sincerely held religious beliefs. 45 CFR §147.131 (b)(2)(ii)
Supreme Court of the United States, per curium opinion, Zubik v. Burwell, May 16, 2016, page 4,
ASPE. (2015). Data Point: The Affordable Care Act is Improving Access to Preventive Services for Millions of Americans.
Kaiser Family Foundation. (2014). Kaiser Health Tracking Poll.
Kaiser Family Foundation. (2015). Coverage of Contraceptive Services: A Review of Health Insurance Plans in Five States.
Oregon Legislative Assembly, 2015 Regular Session, HB3343- Relating to Contraceptives.
Goldman, TR. (2013). Young Adults and the Affordable Care Act. Health Affairs Health Policy Briefs.
Kaiser Family Foundation analysis of the 2013 Kaiser Women’s Health Survey.
Frost JJ, Gold RB and Bucek A. (2012). Specialized family planning clinics in the United States: why women choose them and their role in meeting women’s health care needs. Women’s Health Issues 22(6): e519–e525.
Confidentiality, Third-Party Billing, & the Health Insurance Claims Process: Implications for Title X http://www.confidentialandcovered.com/file/ConfidentialandCovered_WhitePaper.pdf
Guttmacher Institute. (2015). An Overview of Minors’ Consent Law. State Policies in Brief.
English, A. (2014). Adolescent Confidentiality Protections in Title X. Center for Adolescent Health & the Law, and National Family Planning & Reproductive Health Association.
See S.1438 - Allowing Greater Access to Safe and Effective Contraception Act; Affordability Is Access Act (AAA)
Sonfield, Adam, Rounding Out the Contraceptive Coverage Guarantee: Why ‘Male’ Contraceptive Methods Matter for Everyone, Guttmacher Policy Review, Spring 2015, Vol.18 No.2
Gavin L et al., 2014. Providing Quality Family Planning Services: Recommendations of CDC and the U.S. Office of Population Affairs, Morbidity and Mortality Weekly Report. 63(RR04); 1-29.
Centers for Disease Control and Prevention. (2015). Health, United States, 2014.
Centers for Medicare and Medicaid Services, Center for Consumer Information & Insurance Oversight, State Effective Rate Review Programs.
Centers for Medicare and Medicaid Services. (2015). FAQs about the Affordable Care Act Implementation (Part XXVI).
Kaiser Family Foundation. (2015). Coverage of Contraceptive Services: A Review of Health Insurance Plans in Five States.
National Conference of State Legislators. (2014). Insurance Carriers and Access to Healthcare Providers; Network Adequacy.
Kaiser Family Foundation. (2014). Women and Health Care in the Early Years of the ACA: Key Findings from the 2013 Kaiser Women’s Health Survey.